National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Behavioural Science and Evaluation (BSE), Bristol Medical School, University of Bristol, Bristol, UK
National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Behavioural Science and Evaluation (BSE), Bristol Medical School, University of Bristol, Bristol, UK.
BMJ Open. 2024 Sep 12;14(9):e079539. doi: 10.1136/bmjopen-2023-079539.
To illustrate an evidence-, theory- and person-based approach to codesign the COMMUNICATE films that support parental decision-making about the human papillomavirus (HPV) vaccine for their teenagers.
Codesign study.
Localities covered by two immunisation teams in London and the south-west of England.
The intervention planning phase involved combining evidence from a literature review with qualitative interview data to identify barriers and facilitators to HPV vaccine uptake, as well as design features that should be incorporated within the COMMUNICATE films. The intervention development phase involved identifying guiding principles for the COMMUNICATE films, mapping behaviour change techniques onto the behaviour change wheel and codesigning the COMMUNICATE films. Feedback from users informed modifications to maximise acceptability and feasibility and to support behaviour change.
The primary and secondary evidence highlighted important content to include within the COMMUNICATE films: emphasise the benefits of the HPV vaccine, provide transparent information about the safety profile and side effects and emphasise the universality and commonality of HPV infection. A series of scripts were used to guide 4 film shoots to create the content in multiple community languages with 16 participants, including vaccine-hesitant, ethnically diverse parents and professionals. Overall, participants were positive about the films. Potential messengers and ways the films could be distributed, identified by parents, include local social media networks or text messages from general practices. The need for information about the HPV vaccine to be shared by schools ahead of consent being sought was also raised.
By using an integrated approach to intervention development, this study has begun to address the need for an intervention to support vaccine-hesitant, ethnically diverse parents' decision-making about the HPV vaccination programme. A future study to codesign, implement and evaluate a communication strategy for the COMMUNICATE films is planned.
以证据、理论和以人为基础的方法来共同设计支持父母为青少年决定接种人乳头瘤病毒（HPV）疫苗的 COMMUNICATE 电影。
共同设计研究。
伦敦和英格兰西南部两个免疫小组覆盖的地区。
干预计划阶段涉及将文献综述中的证据与定性访谈数据相结合，以确定 HPV 疫苗接种的障碍和促进因素，以及应纳入 COMMUNICATE 电影的设计特征。干预开发阶段涉及确定 COMMUNICATE 电影的指导原则，将行为改变技术映射到行为改变轮上，并共同设计 COMMUNICATE 电影。用户的反馈为最大限度地提高可接受性和可行性并支持行为改变提供了修改意见。
主要和次要证据突出了应包含在 COMMUNICATE 电影中的重要内容：强调 HPV 疫苗的益处，提供有关安全性和副作用的透明信息，并强调 HPV 感染的普遍性和共性。一系列脚本用于指导 4 次电影拍摄，以多种社区语言创作内容，共有 16 名参与者，包括疫苗犹豫不决、种族多样化的父母和专业人士。总的来说，参与者对这些电影持积极态度。父母确定的潜在信息传递者和分发电影的方式包括当地社交媒体网络或来自全科医生的短信。还提出了在征求同意之前由学校共享有关 HPV 疫苗的信息的需求。
通过使用综合的干预措施开发方法，本研究开始满足支持疫苗犹豫不决、种族多样化的父母对 HPV 疫苗接种计划做出决策的干预措施的需求。计划进一步开展共同设计、实施和评估 COMMUNICATE 电影传播策略的研究。
